HomeMy WebLinkAbout05-20-14 NOTICE OF INHERITANCE TAX pennsylvania
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES OF DEDUCTIONS AND ASSESSMENT OF TAX
INHERITANCE TAX DIVISION REV-154] IX AFP (08-133
PO BOX 280601
HARRISBURG PA 17128-0601
DATE 05-19-2014
ESTATE OF DELASIN DOROTHY H
DATE OF DEATH 04-25-2013
FILE NUMBER 21 13-0573
COUNTY CUMBERLAND
DELASIN PHILIP ACN 101
1318 KINGSLEY RD APPEAL DATE: 07-18-2014
CAMP HILL PA 17011-6116 (See reverse side under Objections)
Amount Remitted--- —�
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
CUT ALONG THIS LINE RETAIN LOWER PORTION FOR YOUR RECORDS 4--
REV-1547 EX AFP (08-13) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: DELASIN DOROTHY HFILE No. :21 13-0573 ACN: 101 DATE: 05-19-2014
TAX RETURN WAS: C X) ACCEPTED AS FILED C ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A) Cl) •00 NOTE: To ensure proper
2. Stocks and Bonds (Schedule B) (2) 713.83 credit to your account,
DO submit the upper portion
S. Closely Hold Stock/Partnership Interest (Schedule C) (3) . of this form with o r
4. Mortgages/Notes Receivable (Schedule D) (4) •00 tax payme(str,
5. Cash/Bank Deposits/Misc, Personal Property (Schedule E) (5) - 110 ,399.05 (>
G I*1
6. Jointly Owned Property (Schedule F) (6) 2,714.21 CD IT1 n
7C :�3 G} O
7. Transfers (Schedule G) (7) `DD frn Co ;Z1
8. Total Assets (8)C7 S r 113_927:D�9'.�
k APPROVED DEDUCTIONS AND EXEMPTIONS: M � — o
9. Funeral Expenses/Adm, Costs/Misc. Expenses (Schedule H) (9) 16.218.20 C3
16,325.95 L� C.
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) f'7 O -�
`
11. Total Deductions C11)-
32:r544;.�52
12. Net Value of Tax Return (12) 81, 8Z ,2f9'4pQ
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J)
14. Net Value of Estate SubJect to Tax (14) 73,154.64
NOTE: If an assessment was issued previously, Lines 14, 15, 16, 17, 18 and/or 19 will
reflect figures that include the total of all returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at spousal rate (15) .00 X 00 = .00
16. Amount of Line 14 taxable at lineal rate (16) 7n .440-4R x 045 = 3.169.82
17. Amount of Line 14 at sibling rate (17) .00 X 12 = .00
18. Amount of Line 14 taxable at collateral rate (18) 2,714.21 X 15 = 407.13
19. Principal Tax Due (i9)= 3,576.95
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
61- 7-2014 CDO18664 .00 3,576.95
TOTAL TAX PAYMENT 3,576.95
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .DO
IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE FOR INSTRUCTIONS. `